Aging

1. September 25-26, 2009 Aging Q32009 Fall Retreat 3 Quality Care Quality Education Aging Quality of Life

2. Importance of Donald W. Reynolds grant to MUSC • Aging is high profile issue in SC • Demographic imperative • Opportunity to “Gerontologize” MUSC • Potential broader impact on Primary Care (AHEC)

3. Caring for older people is about Quality “The degree to which health care services for individuals and populations increase the likelihood of desired outcomes and are consistent with current professional knowledge” Institute of Medicine 1990

4. Characteristics of high quality of care • Safe • Effective • Patient-centered • Timely • Equitable • Efficient

5. Quality of care for Vulnerable Elders: The canary in the coal mine

6. Aging Q3: Chronic Care Model

7. Aging Q3 Organizational Chart rev. 9/1/09

8. Aging Q3 ACOVE Area and Work Groups

9. Aging Q3 ACOVE Area and Work Groups

10. Aging Q3 ACOVE Area and Work Groups

11. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Assess performance: Extract and analyze Clinical data Cue MDs to act Record data on clinical intervention Provide decision support

12. From Knowledge to Performance:Intervention Sequence for each ACOVE Faculty & intervention Development

13. Faculty & Intervention Development Pic: Faculty lecture and Retreat

14. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Faculty & intervention Development

15. Resident Lecture

16. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development

17. Detailing Sheets

18. Resident Detailing

19. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care

20. Registration: ID Patients Identify Patients at the time of care

21. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Cue MDs to act

22. Cue MDs to act Blue Sheet

23. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Cue MDs to act Provide decision support

24. Provide decision support

25. Using Practice Partner to provide Decision Support This note version ONLY comes up for patients 65 and older

30. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Cue MDs to act Record data on clinical intervention Provide decision support

31. Record data on clinical interventions

32. Final Note in Practice Partner

33. Clinical performance data from Practice Partner

36. From Knowledge to Performance Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Assess performance: Extract and analyze Clinical data Cue MDs to act Record data on clinical intervention Provide decision support

37. Synchronizing data collection and analysis